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September 02, 2010  
EDUCATION CENTER: Wound Conditions
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  • Arterial Ulcers

    Quick Reference

    Reviewed by Dr. Keith Harding

    Arterial ulcers are extremity ulcerations that result from complete or partial blockage of the arteries, also known as arterial insufficiency. Because arteries are blocked, adequate circulation fails to reach certain parts of the body. The extremities, such as the hands and feet, often suffer from arterial insufficiency, as blockage in the legs or arms impedes blood flow. The most common location of arterial ulcers is at or below the ankle, between the toes, or over bony prominences.

    Detailed Description

    Early signs of arterial insufficiency include cool or cold skin, and a reduced pulse in the extremity. Sometimes, if the blockage of the artery is advanced, the pulse may be absent entirely. Arterial insufficiency may change the appearance of the skin, rendering it shiny, tight, thin, and dry. Also, the skin may be hairless, and the toenails thick and brittle. Arterial ulcers appear as small and circular in appearance, with a pale wound base and smooth wound edges. There may be localized swelling. Fluid drainage from the wound tends to be minimal, unless the ulcer is infected.

    Treatment

    Treating arterial ulcers involves treating the accompanying arterial disease, and consulting a vascular surgeon, who can assess the severity of the disease and determine the best method of improving circulation. Treatment for arterial insufficiency may involve surgically restoring circulation to the area, or use of medication, depending on the extent of arterial disease, and the patient’s overall health.

    Clinicians treat arterial ulcers depending upon the kind of dressing the ulcer requires. If the ulcer produces a lot of drainage, clinicians will dress the wound to absorb the fluid. If the ulcer is dry, clinicians will treat the wound in order to add moisture. Dressing a wound also minimizes the risk of bacerial contamination. Patients suffering from arterial ulcers should not smoke, as it worsens arterial disease and further obstructs arteries. Patients suffering from diabetes or hypertension should manage those conditions as an overall part of their disease management.

    Last updated: 13-Nov-00

       
     
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